| NPI | 1437896529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA LMHC10002750) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2024-09-18 |